Eligibility Appeals Supervisor

DHRM•Richmond, VA

1d•Hybrid

About The Position

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Appeals Supervisor in the Appeals Division. Job responsibilities will include, but are not limited to: Motivate and manage a team of hearing officers within the Appeals Division to process and adjudicate client eligibility appeals. Direct the activities of the team, while providing hands on support to manage the team’s workload and ensure quality output. Occasionally serve as a hearing officer to review and adjudicate client eligibility appeals. Ensure team members are trained and continuously growing in their skills. Support the sustainment of a culture of teamwork and high expectations for employees. Work collaboratively with the Appeals Hearing and Decision Manager and other leaders in the Appeals Division to ensure continuity of operations and continuously improve processes and procedures. Provide excellent customer service, treating everyone who interacts with the Division with respect and dignity; ensure every appellant receives full due process; support a collaborative and positive work environment; and produce a quality work product. The business needs for this position have in office requirements to include but are not limited to attending in-person hearings, meetings, training, and occasional conferences. Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/ The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high-quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Requirements

Considerable experience independently leading a team to meet established time frames.
Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.
Considerable knowledge of administrative law and / or appeals procedures.
Considerable knowledge of legal research methodologies, including computerized legal research.
Considerable experience with technology, including MS Office.
Considerable experience interpreting, applying, and analyzing federal and state complex laws, regulations, policies, or case law.
Considerable experience in managing competing priorities and meeting deadlines.
Considerable experience with internal and external stakeholders.
Considerable experience in legal analysis and legal writing.

Nice To Haves

Admission to the Virginia State Bar in good standing.
Experience drafting appeal decisions.

Responsibilities

Motivate and manage a team of hearing officers within the Appeals Division to process and adjudicate client eligibility appeals.
Direct the activities of the team, while providing hands on support to manage the team’s workload and ensure quality output.
Occasionally serve as a hearing officer to review and adjudicate client eligibility appeals.
Ensure team members are trained and continuously growing in their skills.
Support the sustainment of a culture of teamwork and high expectations for employees.
Work collaboratively with the Appeals Hearing and Decision Manager and other leaders in the Appeals Division to ensure continuity of operations and continuously improve processes and procedures.
Provide excellent customer service, treating everyone who interacts with the Division with respect and dignity; ensure every appellant receives full due process; support a collaborative and positive work environment; and produce a quality work product.

Benefits

The Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship.
Selected candidates will have their work authorization completed using the E‐Verify Program.
This position could be expected to work in the office as driven by business needs.
Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need.
The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
This position requires the submission of a Statement of Economic Interest (financial disclosure).
Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted.
Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations.
It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process.
To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI).
Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter.
To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155
From July 1, 2026, through January 21, 2029, applicants who were involuntarily separated from employment with the Federal Government on or after January 1, 2025, due to a reduction in force, budget reduction, or workforce restructuring initiative may be eligible for HB494 Federal Employee Priority Consideration.
Applicants seeking HB494 Federal Employee Priority Consideration must identify themselves within the state application process and provide supporting documentation, including a Standard Form 50 (SF-50), verifying their eligibility.
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010).
If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process.
To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI).
Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter.
Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note : Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.